Individual
MARY KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN35246
RI
372500000X
Chore Provider
RN35246
RI
Other
Enumeration date
03/12/2014
Last updated
12/02/2019
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